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Dr. Steven Ketchel, M.D.
Hematologist-Oncologist
Dr. Steven Ketchel M.D. is a top Hematologist-Oncologist in Tucson, . With a passion for the field and an unwavering commitment to their specialty, Dr. Steven Ketchel M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Steven Ketchel M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Steven Ketchel M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Tucson, AZ, Dr. Steven Ketchel M.D. is a true asset to their field and dedicated to the profession of medicine.
53 years
Experience
Dr. Steven Ketchel, M.D.
- Tucson, AZ
- Univ of Az Coll of Med, Tucson Az
- Accepting new patients
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What makes multiple veins burst?
It is not clear what you mean by veins bursting. If you are talking about bleeding under the skin, this happens when people with sensitive capillaries (very small blood vessels) READ MORE
It is not clear what you mean by veins bursting. If you are talking about bleeding under the skin, this happens when people with sensitive capillaries (very small blood vessels) bump up against something. It usually happens in people older than 50 but at whatever age it is not a sign of disease. If you are talking about bleeding where you can see blood exiting from the skin, you should consult your general practitioner or internist about this.
Do I have a blood clot in my nose?
It would be highly unlikely that a blood clot in your nose would cause bleeding. It is more likely secondary to capillaries close to the surface in your nose. If they happen often, READ MORE
It would be highly unlikely that a blood clot in your nose would cause bleeding. It is more likely secondary to capillaries close to the surface in your nose. If they happen often, I would see an ENT who could cauterize these so they wouldn't continue to bleed.
What's the clotting-role of basopenia and elevated neutrophils?
This is a very interesting question. I am sorry that you have and must deal with your APS and it consequences. Neutrophils are not generally associated with clotting. Basophils READ MORE
This is a very interesting question. I am sorry that you have and must deal with your APS and it consequences. Neutrophils are not generally associated with clotting. Basophils do have small amounts of heparin in them which would decrease clotting. There is not enough known about basopenia to say that a it is causing any increase in clotting.
Does Fanconi anemia carry a risk of leukemia?
I am an adult hematologist. I know little about Franconis Anemia. It is an aplastic anemia, that is the body doesn’t make red blood cells, that is not known to progress to leukemia. READ MORE
I am an adult hematologist. I know little about Franconis Anemia. It is an aplastic anemia, that is the body doesn’t make red blood cells, that is not known to progress to leukemia.
What causes a clotting disorder?
Yes, there are congenital clotting disorders which are very rare. Most clots start in the legs or the ovarian veins from trauma and then travel to the lungs. The congenital clotting READ MORE
Yes, there are congenital clotting disorders which are very rare. Most clots start in the legs or the ovarian veins from trauma and then travel to the lungs.
The congenital clotting disorders include Factor V Leiden, Prothrombin Gene Mutation and Antithrombin Deficiency. Clotting is also increased in the antiphospholipid syndrome.
The congenital clotting disorders include Factor V Leiden, Prothrombin Gene Mutation and Antithrombin Deficiency. Clotting is also increased in the antiphospholipid syndrome.
How are you cleared for surgery in a blood clot risk assessment?
I agree your risk seems to be very low. However your Plastic Surgeon is concerned and for that reason I would recommend you see a hematologist and receive the clearance the surgeon READ MORE
I agree your risk seems to be very low. However your Plastic Surgeon is concerned and for that reason I would recommend you see a hematologist and receive the clearance the surgeon requests. I doubt the Plastic Surgeon would allow me to consult without seeing you.
What is a CBC and why do I need it?
A CBC is a complete blood count. Two of the things it measures are the hemoglobin and red cell count which measure the amount of red blood cells in your body. If they are low READ MORE
A CBC is a complete blood count. Two of the things it measures are the hemoglobin and red cell count which measure the amount of red blood cells in your body. If they are low it may be a sign of anemia. Lack of energy and fatigue are signs of anemia as well as other medical problems.
What are the side effects of a blood transfusion?
There are very few side effects of a blood transfusion. If the cross match is done improperly there could be immediate side effects. Blood that is donated is checked for certain READ MORE
There are very few side effects of a blood transfusion. If the cross match is done improperly there could be immediate side effects. Blood that is donated is checked for certain infectious agents and donors are asked if they are feeling well before they donate.
If your symptoms continue I would suggest seeing your primary physician.
If your symptoms continue I would suggest seeing your primary physician.
How quickly does chronic myeloid leukemia spread?
It would be highly unlikely for chronic myelocytic leukemia to spread. It is a leukemia and thus may involve the spleen. It is usually treat with oral medications. She is young READ MORE
It would be highly unlikely for chronic myelocytic leukemia to spread. It is a leukemia and thus may involve the spleen. It is usually treat with oral medications. She is young to be diagnosed with this disease and thus may be a candidate for a clinical trial.
What is the treatment for lymphoma?
It depends on the type of lymphoma and the stage. Chemotherapy and radiotherapy are the two treatment modalities
Gum issues with leukemia?
Gum pain may be related to leukemia. I would have the friend contact the treating hematologist.
Can cancer spread from the blood to the organs?
Leukemia is a tumor of the blood system, different than solid tumors. Leukemia can affect the spleen which is part of the blood system. Depending on the type of leukemia, it READ MORE
Leukemia is a tumor of the blood system, different than solid tumors. Leukemia can affect the spleen which is part of the blood system. Depending on the type of leukemia, it may affect the spinal fluid and skin.
Is chemotherapy effective for lymphoma?
Chemotherapy is very successful for most types of lymphoma.
How urgent is this?
I am sorry you have such fatigue. Seizures are not a sign of anemia, except maybe a severely low hemoglobin. Hemoglobin is the best measurement of anemia. I do not think this READ MORE
I am sorry you have such fatigue. Seizures are not a sign of anemia, except maybe a severely low hemoglobin. Hemoglobin is the best measurement of anemia. I do not think this is an emergency. Try oral iron supplements and see if you feel better. If not see a hematologist to discuss these findings. If the hematologist cannot put this all together I would have you see a rheumatologist about your restless legs and purple extremities. I would also see a clinical psychologist about your agoraphobia, panic attacks, rage and depression.

What bleeding disorders cause heavy menstruation?
I doubt this is from a bleeding disorder. The only acquired disorders are those caused by medications such as aspirin and the NSAIDs. If you are not taking these medications READ MORE
I doubt this is from a bleeding disorder. The only acquired disorders are those caused by medications such as aspirin and the NSAIDs. If you are not taking these medications and heavy menstruation continues you could see a hematologist for testing.
How likely is a child to survive leukemia?
It is the most common type of childhood leukemia and is often curable with aggressive treatment.
Are there any long-term complications associated with chemotherapy?
There may be. It depends on which chemotherapy is being administered. Your physician should be able to discuss this with you.
CLL and fatigue. Could it be testosterine levels?
Many things could cause fatigue at his age. I would talk to his primary care physician about this.
What tests are performed during a bone marrow transplant consultation?
If a donor has been identified no tests will likely be done except routine blood tests. The consultant will likely discuss the procedure
Can leukemia cause a rash on the legs?
It is not likely caused by leukemia but may be caused by a low platelet count. I would call the doctor and mention it to him/her.